DIVINE PROVIDENCE VILLAGE
NPI 1013372184
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA
About Divine Providence Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE PROVIDENCE VILLAGE (NPI 1013372184) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, Pennsylvania and active in the NPI registry since December 2015. The organization lists Dawn Engel, Hipaa Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Divine Providence Village's NPI number?
The NPI number for Divine Providence Village is 1013372184. It was assigned to this organization in the NPPES registry on December 16, 2015.
Where is Divine Providence Village located?
Divine Providence Village is located at 6221 N 11th St, Philadelphia, PA 19141. The listed phone number is (610) 543-3380.
What is Divine Providence Village's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Divine Providence Village was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Divine Providence Village · NPI 1013372184
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since December 16, 2015.
## Identity
- **NPI:** 1013372184 (Entity type: Organization)
- **Enumerated:** December 16, 2015
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Dawn Engel, HIPAA OFFICER
## Practice location
- **Address:** 6221 N 11TH ST, Philadelphia, PA 19141-3301
- **Phone:** (610) 543-3380
## Record status
- **NPPES last updated:** March 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1013372184) · Data from the CMS NPPES public registry.